Loading...
HomeMy Public PortalAbout5621 NOEL DR_Plumbing__ 76A667- CE 817 7169 e� APPLICATION FOR PLUMBING PERM ;r COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER RonDnlc BUILDING AND SAFETY DIVISION ADAMS s ,Sd 2! Al /YO�.L DEQ JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUP T OF BUILDING LOCALITY T;'/NPL� G/7" FOR APPLICANT TO FILL IN PR NT O TYPE IWA T �(/�C NUMBER FIXTURE OR ITEM EACH FEE — CROSS STOWNER WATER CLOSET 1 50 KAMC BATH TUB 1 50 DRESS _1!0>',4IJ1 E SHOWER 1 50 CITY T C- TEL NO 47-7 yj v LAVATORY 150 CONTRACTOR SINK 150 ADDS ` DISHWASHER 1 50 CITY TEL NO CLOTHES WASHER 1 50 STATE LIC LICENSE NO CLASS SWIMMING POOL RECEPTOR 1 50 DISTRICT N GR Z E PR B D BY LAWN SPRINKLER SYSTEM 2 00 WATER HEATER 1 50 INDU8T8fAL WASTE APPROVAL n GAS SYSTEM OUTLETS 1 50 Q 1NSPECTIONi RECORD �* OUTLETS OVER 30 Z 5 PER SYSTEM O 1. i N Z Plan check fee 25% of above See reverse PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL FEE APPROVALS DATE INSPECTOR 8 SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel No HOT WATER HEATER 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OB UTILITY CO NOTIFIED LIClNSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO 44 RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL SIGNATURE JACK R ALLEN, SUPE VISING MECHANICAL OF PERMITTEE PERMIT VALIDATION CK M o CASH PLAN CHECK VALIDATION CK CASH Ar„ 8 4 9 or X 2 6 5 D 3-50- A .50-A 76AMA C, CLO17(REV 11/78) APPLICAT ON R PLUM PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM ® FEE ADDRESS t576al LOCALITY WATER CLOSET NEAREST 9ATH TUB CROSS ST SHOWER OWNER LAVATORY MAIL ADDRESS SINK CITY 7-- TEL NO DISHWASHER 0 U CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL NO LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING V GAS VENT HOT WATER HEATER 0 PLUMBING FIXTURES GAS TEST #A Plan check fee UTILITYCO NOTIFIED Z PLUMBING PERMIT ISSUING FEE$ 06 , TOTAL FEE C3 4,o FINAL Plan check applicant PLAN CHECK VALIDAT N Name Address City Tel No Q I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE R /�7 8 Q 1 A THAT THE ABOVE IS CORRECT AND AGREETO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION # 5 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE 2 • • 1 300 LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DES IBED RESIDENTIAL PROPS �/JJ11 1. • • 1 3-005 SIOF PERMS '7��� 1 15 / 9 D � PRO ED B INDUSTRIAL WASTE APPROVAL '-DEPA3TM -lT'ft-BUILDING AND SAFETY APPLICATION FOB PERMIT / PLUMBING F AP (CANT TO FILLAIN DISTRIC NO GROUP I ZONE PER I RECEIVED BY READY FOR DATEISSUED PLUMBER FIRST INSPECTION ADDRESS BUILDING CITYTEL NO ADDRESS COUNTY e_ LICENSE NO �� �V ��//J EXPIRES LOCALITY�A�D NEAREST P RAW FMS. CROSS ST on NUMBER OWNERMAIL TYPB OR FIXTURE FEE ,�/ WATER CLOSET (TOILET) @ 050 $ ADDRESS ,/` /Y r . � BATH TUB ® 050 CITY TEL NO SHOWER ® 050 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) ® O 80APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK ® Oso AND STATE LAWS REGULATING P ING I CERTIFY THAT I P THE ABOVE VALID LOS LAUNDRY TUB OR TRAY ® 050 ANGELES COUNT I AM THE LEGAL OWNER OF THE RESIDEN 1 DESCRIBED ABOVE GAS SYSTEM UTLETS @ 050 WATER HEATER @ 050 SIGNPAERMITT F SLOP SINK @ 050 SPECTION RECORD FLOOR SINK @ 050 FLOOR DRAIN ® 050 DISHWASHER ® 050 DRINKING FOUNTAIN ® Ono URINAL @ coo HOUSECONNECTION SEWER EWER ® 030 HOUSE CONNECTION TO TANK OR CESSPOOL ® 050 MISCELLANEOUS O APPROVALS DATE INSPECTOR B NAME ROUGH PLUMBING GAS PIPING 1� 3 GAS VENT CESSPOOL ® 106 CESSPOOL SEPTIC TANK SEPTIC TANK DRAIN ( ) PIT ( ) @ 100 SEWER PERMIT too GAS TEST TOTAL FEE $ _.lL,o UTILITY CO NOTIFIED V FINAL 09 z O17 D & Is as APPLICATION FOR PLUMBING PERMIT an t DIVISION OF SU=ING AND SAFETY Conaty loof==OW lw WM J FOX. COUNTY ENGINEER BUILDING ` ADDRESS 0 V CASBATT D GRIFFIN SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST OWNERAV" DISTRICT NO GROUP SONE READY FOR INSPRCT1ON AMAIL DDRESS INDUSTRIAL CI T L NO WASTE APPROVAL IS INSPECTION RECORD ADDRESS A66z.AtZri CITY EL NO y LICENSE NO L P SK NUNBRR TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) $ BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER TOTAL NO 0 080 APPROVAL$ DATE INSPEGTOR S SIGNATURE GAS SYSTEM_ OUTLETS ® 100 UNDER SLAB WORK WATER HEATER ® 100 ROUGH PLUMBING LIL lll� PERMIT S 1 00 GAS PIPING TOTAL FEE 2-DO GAS VENT I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION HOT WATER HEATER _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSEDNIAS REQUIRED BY LOS A ELES COUNTY AND STATE OF UTILITY CO NOTIFIED CALIFORA OR THAT I AM TN EGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PR ER SIGNATURE OF PERMITTEE'IleFINAL Z Zl S WILLIAM J FOX,COUNTY ENGINEER ALIDATION C09 7 8 21R v^V 7 3 200 �► ST CT 76A667 CE817 S 57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST BUILDING AND SAFETY DIVISION S6 1V�D /4096L JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN SUPT OF BUILDING M LC FOR APPLICANT TO FILL IN Q NUMBER FIXTURE OR ITEM WW OWNS WATER CLOSE! BATH TUB A DDA DD s1A "DIC L r2. . SHOWER CM TEL N I./3 V LAVATORY n..� CONTRACTOR a V� SINS ADDRESS IS jE , o w DISHWASHER C TEL N LAUNDRY TUB " CON ACTOR STATE �` REGISTRATION O �i1 S COUNTY CLOTHES WASHER ,.,,II��'''' DIST: GROUP PE READY FOR INSPECTION WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS @ $100 PER ITEM DATE INSPECTOR S SIGNATURE OR FIXTURE $ UNDER SLAB WORK ROUGH PLUMBING 4w 'o PERMIT S t2.00 GAS PIPING TOTAL FEEliff f) �. GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEG L OWNE OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PROP SIGNATURE OF PERMITTEE FINAL Os VALIDATION ROBERT A D SUPERVISING CHANICAL ENG R CK M O S 1 0 1 8R DEC 1 5 A 6.0 0 r